Organization
SHRI DHANVANTRI PA
Active
Other names
APPLE A DAY CONVENIENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS LOGAN (MANAGER)
(301) 259-1222
Entity
Organization
Contact information
Practice address
1098 E MAIN ST, DUNCAN, SC 29334-9645
(786) 833-8829
Mailing address
1098 E MAIN ST, DUNCAN, SC 29334-9645
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
05/21/2024
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